Stone Creek Dental, P.a.

Primary specialty

DentistTaxonomy code 122300000X

License

D11335 Issued in MN

Legal business name

STONE CREEK DENTAL, P.A.

Practice address

7935 Stone Creek Dr
Ste. 150
Chanhassen, MN 55317-4610

Phone

(952) 937-2839

Fax

(952) 401-3307

NPI assigned

Apr 12, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Tiffany Maja Axel-Weyandt, D.D.S.NPI 1891826020

Title

Owner

Phone

(952) 937-2839

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tiffany Axel-Weyandt, D.D.S.

  • General Practice Dentistry
  • Chanhassen, MN
  • NPI 1891826020
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508080532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7935 STONE CREEK DR",
            "address_2": "STE. 150",
            "city": "CHANHASSEN",
            "state": "MN",
            "postal_code": "553174610",
            "telephone_number": "952-937-2839",
            "fax_number": "952-401-3307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7935 STONE CREEK DR",
            "address_2": "STE. 150",
            "city": "CHANHASSEN",
            "state": "MN",
            "postal_code": "553174610",
            "telephone_number": "952-937-2839",
            "fax_number": "952-401-3307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONE CREEK DENTAL, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AXEL-WEYANDT",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "MAJA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-937-2839",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MN",
            "license": "D11335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Stern, D.C.
• Steven P Consoer
• Jessie Nicole Stevens, DPT
• Kristen Stevens
• Nathan Stier, PT
• Stone Creek Psychiatry, LLC
• Carolyn Suerth Hudson, RDN, LD
• Sujit R Varma, MD
• Supervalu Pharmacies Inc
• Surgical Specialties, LTD.

• Dentist in Chanhassen, MN
• Providers in Chanhassen, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.